Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.57 / $132.63 / $207.75	Facility		$94.57	$132.63	$207.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.57 / $164.39 / $171.63	Professional		$94.57	$164.39	$171.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.89 / $257.89 / $515.79	Facility		$257.89	$257.89	$515.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.17 / $89.63 / $295.42	Professional		$72.17	$89.63	$295.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $151.82 / $151.82 / $214.87	Facility		$151.82	$151.82	$214.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $151.82 / $151.82 / $151.82	Professional		$151.82	$151.82	$151.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $257.89 / $346.00 / $610.00	Facility		$257.89	$346.00	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.89 / $464.22 / $716.96	Professional		$257.89	$464.22	$716.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $85.12 / $149.13	Facility		$85.12	$85.12	$149.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $147.66 / $158.44	Professional		$102.14	$147.66	$158.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $159.40 / $441.75	Professional		$119.00	$159.40	$441.75
United Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $225.16 / $332.38	Professional		$85.78	$225.16	$332.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $149.13 / $149.13	Facility		$112.00	$149.13	$149.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $147.66 / $158.44	Professional		$112.00	$147.66	$158.44